Mestinon

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

asthma

difficulty passing urine

heart disease

nfection in abdomen, peritonitis

rregular, slow heartbeat

kidney disease

seizures

stomach or bowel obstruction or ulcers

thyroid disease

an unusual or allergic reaction to pyridostigmine, bromides, other medicines, foods, dyes, or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

other medicines for myasthenia gravis like neostigmine

quinine

This medicine may also interact with the following medications:

atropine

bethanechol

disopyramide

edrophonium

guanadrel

guanethidine

mecamylamine

medicines that block muscle or nerve pain

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Tell your doctor if your symptoms do not improve or if they get worse.
Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

breathing problems

changes in vision

muscle cramps, spasm

slow or irregular heartbeat

stomach cramps, pain

unusually weak or tired

vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

diarrhea, especially at start of treatment

ncreased saliva

ncreased sweating

nausea

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.